Second Substitute S.B. 120

Senator Scott K. Jenkins proposes the following substitute bill:


             1     
SHELTER ANIMAL VACCINE AMENDMENTS

             2     
2014 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Scott K. Jenkins

             5     
House Sponsor: Richard A. Greenwood

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends the Veterinary Practice Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    exempts an employee of an animal shelter, from the requirement to be licensed as a
             13      veterinarian for the purpose of administering a rabies vaccination to a shelter
             14      animal; and
             15          .    exempts an animal shelter operating under the indirect supervision of a veterinarian
             16      from the requirement to obtain a license as a pharmacy for purposes of handling,
             17      storing, and administering a rabies vaccination, or a drug used for purposes of
             18      animal euthanasia.
             19      Money Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25           58-17b-309 , as last amended by Laws of Utah 2013, Chapter 278


             26           58-28-307 , as last amended by Laws of Utah 2013, Chapter 278
             27     
             28      Be it enacted by the Legislature of the state of Utah:
             29          Section 1. Section 58-17b-309 is amended to read:
             30           58-17b-309. Exemptions from licensure.
             31          (1) For purposes of this section:
             32          (a) "Cosmetic drug":
             33          (i) means a prescription drug that is:
             34          (A) for the purpose of promoting attractiveness or altering the appearance of an
             35      individual; and
             36          (B) listed as a cosmetic drug subject to the exemption under this section by the division
             37      by administrative rule or has been expressly approved for online dispensing, whether or not it is
             38      dispensed online or through a physician's office; and
             39          (ii) does not include a prescription drug that is:
             40          (A) a controlled substance;
             41          (B) compounded by the physician; or
             42          (C) prescribed or used for the patient for the purpose of diagnosing, curing, or
             43      preventing a disease.
             44          (b) "Injectable weight loss drug":
             45          (i) means an injectable prescription drug:
             46          (A) prescribed to promote weight loss; and
             47          (B) listed as an injectable prescription drug subject to exemption under this section by
             48      the division by administrative rule; and
             49          (ii) does not include a prescription drug that is a controlled substance.
             50          (c) "Prescribing practitioner" means an individual licensed under:
             51          (i) Chapter 31b, Nurse Practice Act, as an advanced practice registered nurse with
             52      prescriptive practice;
             53          (ii) Chapter 67, Utah Medical Practice Act;
             54          (iii) Chapter 68, Utah Osteopathic Medical Practice Act; or
             55          (iv) Chapter 70a, Physician Assistant Act.
             56          (2) In addition to the exemptions from licensure in Sections 58-1-307 and


             57      58-17b-309.5 , the following individuals may engage in the acts or practices described in this
             58      section without being licensed under this chapter:
             59          (a) if the individual is described in Subsections (2)(b), (d), or (e), the individual
             60      notifies the division in writing of the individual's intent to dispense a drug under this
             61      subsection;
             62          (b) a person selling or providing contact lenses in accordance with Section 58-16a-801 ;
             63          (c) an individual engaging in the practice of pharmacy technician under the direct
             64      personal supervision of a pharmacist while making satisfactory progress in an approved
             65      program as defined in division rule;
             66          (d) a prescribing practitioner who prescribes and dispenses a cosmetic drug or an
             67      injectable weight loss drug to the prescribing practitioner's patient in accordance with
             68      Subsection (4); [or]
             69          (e) an optometrist, as defined in Section 58-16a-102 , acting within the optometrist's
             70      scope of practice as defined in Section 58-16a-601 , who prescribes and dispenses a cosmetic
             71      drug to the optometrist's patient in accordance with Subsection (4)[.]; and
             72          (f) an animal shelter that, in accordance with Section 58-28-307 and under the indirect
             73      supervision of a veterinarian, stores, handles, or administers a rabies vaccine or a drug used for
             74      euthanising an animal:
             75          (3) In accordance with Subsection 58-1-303 (1)(a), an individual exempt under
             76      Subsection (2)(c) must take all examinations as required by division rule following completion
             77      of an approved curriculum of education, within the required time frame. This exemption
             78      expires immediately upon notification of a failing score of an examination, and the individual
             79      may not continue working as a pharmacy technician even under direct supervision.
             80          (4) A prescribing practitioner or optometrist is exempt from licensing under the
             81      provisions of this part if the prescribing practitioner or optometrist:
             82          (a) (i) writes a prescription for a drug the prescribing practitioner or optometrist has the
             83      authority to dispense under Subsection (4)(b); and
             84          (ii) informs the patient:
             85          (A) that the prescription may be filled at a pharmacy or dispensed in the prescribing
             86      practitioner's or optometrist's office;
             87          (B) of the directions for appropriate use of the drug;


             88          (C) of potential side-effects to the use of the drug; and
             89          (D) how to contact the prescribing practitioner or optometrist if the patient has
             90      questions or concerns regarding the drug;
             91          (b) dispenses a cosmetic drug or injectable weight loss drug only to the prescribing
             92      practitioner's patients or for an optometrist, dispenses a cosmetic drug only to the optometrist's
             93      patients;
             94          (c) follows labeling, record keeping, patient counseling, storage, purchasing and
             95      distribution, operating, treatment, and quality of care requirements established by
             96      administrative rule adopted by the division in consultation with the boards listed in Subsection
             97      (5)(a); and
             98          (d) follows USP-NF 797 standards for sterile compounding if the drug dispensed to
             99      patients is reconstituted or compounded.
             100          (5) (a) The division, in consultation with the board under this chapter and the relevant
             101      professional board, including the Physician Licensing Board, the Osteopathic Physician
             102      Licensing Board, the Physician Assistant Licensing Board, the Board of Nursing, the
             103      Optometrist Licensing Board, or the Online Prescribing, Dispensing, and Facilitation Board,
             104      shall adopt administrative rules pursuant to Title 63G, Chapter 3, Utah Administrative
             105      Rulemaking Act to designate:
             106          (i) the prescription drugs that may be dispensed as a cosmetic drug or weight loss drug
             107      under this section; and
             108          (ii) the requirements under Subsection (4)(c).
             109          (b) When making a determination under Subsection (1)(a), the division and boards
             110      listed in Subsection (5)(a) may consider any federal Food and Drug Administration indications
             111      or approval associated with a drug when adopting a rule to designate a prescription drug that
             112      may be dispensed under this section.
             113          (c) The division may inspect the office of a prescribing practitioner or optometrist who
             114      is dispensing under the provisions of this section, in order to determine whether the prescribing
             115      practitioner or optometrist is in compliance with the provisions of this section. If a prescribing
             116      practitioner or optometrist chooses to dispense under the provisions of this section, the
             117      prescribing practitioner or optometrist consents to the jurisdiction of the division to inspect the
             118      prescribing practitioner's or optometrist's office and determine if the provisions of this section


             119      are being met by the prescribing practitioner or optometrist.
             120          (d) If a prescribing practitioner or optometrist violates a provision of this section, the
             121      prescribing practitioner or optometrist may be subject to discipline under:
             122          (i) this chapter; and
             123          (ii) (A) Chapter 16a, Utah Optometry Practice Act;
             124          (B) Chapter 31b, Nurse Practice Act;
             125          (C) Chapter 67, Utah Medical Practice Act;
             126          (D) Chapter 68, Utah Osteopathic Medical Practice Act;
             127          (E) Chapter 70a, Physician Assistant Act; or
             128          (F) Chapter 83, Online Prescribing, Dispensing, and Facilitation Act.
             129          (6) Except as provided in Subsection (2)(e), this section does not restrict or limit the
             130      scope of practice of an optometrist or optometric physician licensed under Chapter 16a, Utah
             131      Optometry Practice Act.
             132          Section 2. Section 58-28-307 is amended to read:
             133           58-28-307. Exemptions from chapter.
             134          In addition to the exemptions from licensure in Section 58-1-307 this chapter does not
             135      apply to:
             136          (1) any person who practices veterinary medicine, surgery, or dentistry upon any
             137      animal owned by him, and the employee of that person when the practice is upon an animal
             138      owned by his employer, and incidental to his employment, except:
             139          (a) this exemption does not apply to any person, or his employee, when the ownership
             140      of an animal was acquired for the purpose of circumventing this chapter; and
             141          (b) this exemption does not apply to the administration, dispensing, or prescribing of a
             142      prescription drug, or nonprescription drug intended for off label use, unless the administration,
             143      dispensing, or prescribing of the drug is obtained through an existing veterinarian-patient
             144      relationship;
             145          (2) any person who as a student at a veterinary college approved by the board engages
             146      in the practice of veterinary medicine, surgery, and dentistry as part of his academic training
             147      and under the direct supervision and control of a licensed veterinarian, if that practice is during
             148      the last two years of the college course of instruction and does not exceed an 18-month
             149      duration;


             150          (3) a veterinarian who is an officer or employee of the government of the United
             151      States, or the state, or its political subdivisions, and technicians under his supervision, while
             152      engaged in the practice of veterinary medicine, surgery, or dentistry for that government;
             153          (4) any person while engaged in the vaccination of poultry, pullorum testing, typhoid
             154      testing of poultry, and related poultry disease control activity;
             155          (5) any person who is engaged in bona fide and legitimate medical, dental,
             156      pharmaceutical, or other scientific research, if that practice of veterinary medicine, surgery, or
             157      dentistry is directly related to, and a necessary part of, that research;
             158          (6) veterinarians licensed under the laws of another state rendering professional
             159      services in association with licensed veterinarians of this state for a period not to exceed 90
             160      days;
             161          (7) registered pharmacists of this state engaged in the sale of veterinary supplies,
             162      instruments, and medicines, if the sale is at his regular place of business;
             163          (8) any person in this state engaged in the sale of veterinary supplies, instruments, and
             164      medicines, except prescription drugs which must be sold in compliance with state and federal
             165      regulations, if the supplies, instruments, and medicines are sold in original packages bearing
             166      adequate identification and directions for application and administration and the sale is made in
             167      the regular course of, and at the regular place of business;
             168          (9) any person rendering emergency first aid to animals in those areas where a licensed
             169      veterinarian is not available, and if suspicious reportable diseases are reported immediately to
             170      the state veterinarian;
             171          (10) any person performing or teaching nonsurgical bovine artificial insemination;
             172          (11) any person affiliated with an institution of higher education who teaches
             173      nonsurgical bovine embryo transfer or any technician trained by or approved by an institution
             174      of higher education who performs nonsurgical bovine embryo transfer, but only if any
             175      prescription drug used in the procedure is prescribed and administered under the direction of a
             176      veterinarian licensed to practice in Utah;
             177          (12) (a) upon written referral by a licensed veterinarian, the practice of animal
             178      chiropractic by a chiropractic physician licensed under Chapter 73, Chiropractic Physician
             179      Practice Act, who has completed an animal chiropractic course approved by the American
             180      Veterinary Chiropractic Association or the division;


             181          (b) upon written referral by a licensed veterinarian, the practice of animal physical
             182      therapy by a physical therapist licensed under Chapter 24b, Physical Therapy Practice Act, who
             183      has completed at least 100 hours of animal physical therapy training, including quadruped
             184      anatomy and hands-on training, approved by the division;
             185          (c) upon written referral by a licensed veterinarian, the practice of animal massage
             186      therapy by a massage therapist licensed under Chapter 47b, Massage Therapy Practice Act,
             187      who has completed at least 60 hours of animal massage therapy training, including quadruped
             188      anatomy and hands-on training, approved by the division; and
             189          (d) upon written referral by a licensed veterinarian, the practice of acupuncture by an
             190      acupuncturist licensed under Chapter 72, Acupuncture Licensing Act, who has completed a
             191      course of study on animal acupuncture approved by the division;
             192          (13) unlicensed assistive personnel performing duties appropriately delegated to the
             193      unlicensed assistive personnel in accordance with Section 58-28-502 ;
             194          (14) an animal shelter employee who is:
             195          (a) (i) acting under the indirect supervision of a licensed veterinarian; and
             196          [(b)] (ii) (A) performing animal euthanasia in the course and scope of employment;
             197      [and] or
             198          (B) administering a rabies vaccine to a shelter animal in accordance with the
             199      Compendium of Animal Rabies Prevention and Control; and
             200          (15) an individual providing appropriate training for animals; however, this exception
             201      does not include diagnosing any medical condition, or prescribing or dispensing any
             202      prescription drugs or therapeutics.


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